Best Practices to Combat Denials

Keep Calm and Appeal Like a Lawyer


Sarah Mendiola

Sarah Mendiola, Esq., LPN, CPC, CPCO

Senior Vice President, Denials

Effective appeals are a critical component of any denial management program. Whether you allocate staff to handle denials internally, outsource, or a combination of the two, proper identification and handling of denials is paramount to recovery. In this interactive and engaging workshop, participates will be given some simple tools from our lawyers’ toolbox with fact patterns to “lawyer up” for recovery. Wrap‐up will include real‐life outcomes.

In this session, you’ll learn

  • How to effectively identify denials
  • What appeal strategies to consider
  • Which tools to implement